干姜（一两） 附子（一枚生用去皮破八片）
上二味。以水三升。煮取一升。去滓顿服。
成注引内经曰。寒淫所胜。平以辛热。虚寒太甚。是以辛热剂胜之也。
琥按上方。用干姜守中。除里寒也。附子温经。散表寒也。阴邪既退。而阳气自复矣。
发汗。病不解。反恶寒者。虚故也。芍药甘草附子汤主之。（伤寒发汗。则病解矣。纵不解。亦不恶寒。若中
寒证强发其汗。病不解。必反恶寒。盖汗出则营虚。恶寒则卫虚。成注云。营卫俱虚也。与芍药甘草附子汤。以补
营卫。）
芍药 甘草（炙各三两） 附子（一枚炮去皮破八片）
上三味。以水五升。煮取一升五合。去滓。分温服。
成注云芍药之酸。收敛津液而益营。附子辛热固阳气而补卫。甘草之甘。调和辛酸而安正气。琥按原方后。有
疑非仲景意五字。或叔和王氏于撰次此方之时。认上条为伤寒病。发汗不解而恶寒。乃表邪未尽。仍宜发汗。因疑
此方。为非仲景意。似不可用。故内台方议亦云。若非大汗出。又反恶寒。其脉沉微。及无热证者。不可服也。明
乎此。而上方之用。可无疑矣。
发汗。若下之。病仍不解。烦躁者。茯苓四逆汤主之。（伤寒汗下。则烦躁止而病解矣。若中寒证。强发其汗。
则表疏亡阳。复下之。则里虚亡阴。卫气失守。营血内空。邪仍不解。因生烦躁。此亦虚烦虚躁。乃假热之象也。
止宜温补。不当散邪。故以茯苓四逆汤主之也。）
干姜（一两） 附子（一枚，生用，去皮，破成八片）
以上两味药。用水三升。煮取一升。去渣，一次性服用。
成无己注引《内经》说：寒邪过盛时，用辛热之品来平抑它。虚寒太甚，所以用辛热剂来战胜它。
琥按上述方子，用干姜守中焦，祛除里寒；附子温通经脉，散表寒。阴邪既然退去，阳气自然恢复。
发汗后，病未解除，反而恶寒的，是正气虚弱所致。用芍药甘草附子汤主治。（伤寒病发汗，则病应解。即使不解，也不应恶寒。若是中寒证强行发汗，病不解，必定反而恶寒。因为汗出则营血虚，恶寒则卫气虚。成无己注说：营卫俱虚。给予芍药甘草附子汤，以补益营卫。）
芍药 甘草（炙，各三两） 附子（一枚，炮制，去皮，破成八片）
以上三味药。用水五升。煮取一升五合。去渣。分两次温服。
成无己注说：芍药的酸味，收敛津液而益养营血；附子的辛热，固护阳气而补益卫气；甘草的甘味，调和辛酸而安定正气。琥按原方后有“疑非仲景意”五个字。或许是王叔和编纂此方时，认为上一条是伤寒病，发汗不解而恶寒，乃是表邪未尽，仍宜发汗，因此怀疑此方，认为不是张仲景的本意，似乎不可用。所以《内台方议》也说：如果不是大汗出，又反恶寒，脉象沉微，且无热证的，不可服用。明白这一点，那么上方（指前文提到的辛热剂或本方适用情境）的使用，就可以没有疑问了。
发汗，或者攻下后，病仍未解除，出现烦躁的，用茯苓四逆汤主治。（伤寒病经过汗法、下法治疗后，烦躁应止而病解。若是中寒证，强行发汗，则表疏亡阳；再攻下，则里虚亡阴。卫气失守，营血内空，邪气仍不解，因而产生烦躁。这也是虚烦虚躁，是假热的表现。只宜温补，不应当发散邪气，所以用茯苓四逆汤主治。）
Ganjiang (Radix Zingiberis Preparata, 1 liang) Fuzi (Rhizoma Aconiti Lateralis Preparatus, 1 piece, used raw, peeled, broken into eight pieces)
The above two ingredients. With three sheng of water, boil to obtain one sheng. Remove the dregs and take in one dose.
Cheng Wuji's commentary cites the *Neijing*: "When cold pathogen prevails excessively, pacify it with acrid-hot substances." Since deficiency-cold is too severe, an acrid-hot formula is used to overcome it.
Hu notes: In the above formula, Ganjiang stabilizes the middle jiao and eliminates interior cold; Fuzi warms the meridians and disperses exterior cold. Once the yin pathogen recedes, yang qi naturally recovers.
After sweating therapy, if the disease does not resolve but instead aversion to cold occurs, this is due to deficiency. Shaoyao Gancao Fuzi Tang (Peony and Licorice with Aconite Decoction) is the primary treatment. (In Taiyang syndrome, sweating therapy should resolve the disease. Even if unresolved, aversion to cold should not occur. If a Zhonghan [Cold Damage] case is forcibly sweated, the disease will not resolve and aversion to cold will inevitably follow. Sweating depletes Ying blood, while aversion to cold indicates Wei qi deficiency. Cheng Wuji notes: "Both Ying and Wei are deficient." Shaoyao Gancao Fuzi Tang is administered to tonify Ying and Wei.)
Shaoyao (Radix Paeoniae Rubra) Gancao (Radix Glycyrrhizae Preparata, roasted, each 3 liang) Fuzi (Rhizoma Aconiti Lateralis Preparatus, 1 piece, processed, peeled, broken into eight pieces)
The above three ingredients. With five sheng of water, boil to obtain one sheng and five he. Remove the dregs. Divide into two warm doses.
Cheng Wuji notes: The sourness of Shaoyao astringes body fluids and nourishes Ying; the acrid-hot nature of Fuzi secures Yang qi and supplements Wei; the sweetness of Gancao harmonizes acrid and sour flavors and stabilizes healthy Qi. Hu notes that the original prescription contains the phrase "suspected not to be Zhang Zhongjing's intention." Perhaps Wang Shuhe, when compiling this formula, interpreted the previous clause as Taiyang syndrome where sweating failed to resolve the disease and aversion to cold persisted, indicating residual exterior pathogen still requiring sweating. Thus, he suspected this formula was not Zhang Zhongjing's intent and seemed unusable. Therefore, *Neitai Fangyi* also states: If there is no massive sweating, yet aversion to cold recurs, with a deep and faint pulse and no heat signs, it must not be taken. Understanding this, the application of the aforementioned formulas can be free of doubt.
After sweating or purging therapy, if the disease remains unresolved and restlessness (fan zao) occurs, Fuling Sini Tang (Poria and Reverse Cold Decoction) is the primary treatment. (In Taiyang syndrome, after sweating and purging, restlessness should cease and the disease resolves. However, in Zhonghan cases, forced sweating causes exterior laxity and loss of Yang; subsequent purging causes interior deficiency and loss of Yin. Wei qi loses its guard, Ying blood becomes empty internally, pathogen remains unresolved, generating restlessness. This is deficiency-induced restlessness, a manifestation of false heat. Only warming and tonifying are appropriate; dispersing pathogen is contraindicated. Hence, Fuling Sini Tang is used.)